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Our Practice



Suffering With A Hip Injury?: The Most Common Hip Injuries

Whether it’s a a sports injury, the early stages of hip osteoarthritis, or a the result of a slip around the house, many individuals suffer from serious hip injuries and conditions don’t even know it. Is your hip causing you trouble? Is this a muscle strain or something more involved?

Hip Arthritis
Hip osteoarthritis is the result of hip cartilage wearing away over time. This fraying of hip cartilage may lead to direct bone on bone contact and the development of hip bone spurs.

Hip Impingement/Labral Tears
Hip impingement also known as femoroacetabular impingement (hip FAI) is a common hip condition. Hip impingement may lead to labrum tears and hip osteoarthritis if left untreated. In some cases, hip bone spurs also develop causing friction and discomfort.

Hip Dislocation and Hip Fractures
Hip fractures and hip dislocations are common hip injuries. During some hip dislocations, the head of the femur may also break or fracture the hip socket.

Hip Bursitis
Hip bursae are the small, protective, fluid-filled sacs in your hip. It is possible for these sacs to become infected or inflamed resulting in hip bursitis or trochanteric bursitis.

Snapping Hip Syndrome
Snapping hip syndrome is associated with tendons and muscles passing over extended hip surfaces and hip bone spurs. Over time, this constant rubbing may cause discomfort and inflammation.

Avascular Necrosis (AVN Hip)
Disrupted blood flow to the head of the femur may result in the death of the bone or severe bone damage. This painful hip condition is known as osteonecrosis or avascular necrosis.

A Full Range of Orthopedic and Sports Medicine Care for Your Hip Injury

At Sports Medicine Oregon, we understand that every hip injury is unique. With this in mind, we take a personalized and methodical approach to your hip injury and then design a plan of action. After all we are here to treat our patients not just their symptoms.

The Sports Medicine Oregon orthopedic care capabilities include everything from cutting edge regenerative injections and total hip surgery to individually tailored strength training and physical therapy regimens. A treatment program focused on pain alone won’t remedy the underlying problem.

So what are your treatment options? It all starts with a detailed history of your problem and an exam by a board certified orthopedic or sports medicine physician and ends with a personalized plan of action specific to your hip injury.

Physician’s Examination
At Sports Medicine Oregon, we’ve treated thousands of hip injuries and it all starts with a thorough history of your problem and examination at our state of the art facility. We will diagnose the root cause of your hip pain and then design a strategy to help you restore your active lifestyle.

Symptom Management
Simply put: Different types of hip pain indicate different types of hip injuries. What is your body trying to tell you? Your specific symptoms and your activity level will give us a better idea of the treatment options to discuss with you.

Accurate Diagnosis
Once we’ve established your diagnosis, one of our board certified orthopedic and sports medicine physicians will assess and diagnose the cause of your hip symptoms. An accurate diagnosis is paramount to the shortest possible road to recovery.

Return to Play Guidelines
Understanding how often and how aggressively you can go about your normal activity regimen will depend on your injury, your lifestyle, and your hip pain. Typically, many common aches and pains can be adequately managed with strengthening and activity adjustments. At Sports Medicine Oregon, we call these personally tailored instructions your “Return to Play” guidelines.

Integrated Physical Therapy
Have you adjusted your lifestyle but your hip is still holding you back? Physical therapy can strengthen the surrounding muscles and increase flexibility. It is often a necessary step to take when your underlying hip injury is capable of healing without surgical intervention. Our on staff physical therapists will work directly with your physician to assure that your time is well spent.

Regenerative Injections
Today, we are witnessing a true renaissance in sports medicine treatment and the latest biotech solutions can regrow healthy tissue and set you free from chronic hip pain. Is platelet rich plasma (PRP), prolotherapy, or stem cell (bone marrow aspirate concentrate) therapy right for you?

Imaging and Interpretation
If the previous treatment options haven’t adequately managed your symptoms it may be time to pinpoint the structural cause of your hip pain. Fortunately, we can image and diagnose many hip injuries on-site at our cutting edge medical complex.

Minimally Invasive Corrective Surgery
Unlike more invasive “open” surgery, arthroscopic hip surgery involves less pain, less swelling and shorter recovery times. After outpatient hip arthroscopy, patients return home the same day and can be back to their active lifestyle in a minimal amount of time.

Total Joint Replacement
Are you experiencing hip grinding or bone on bone joint pain? If joint preservation techniques haven’t alleviated your pain, joints damaged by severe hip arthritis are often treated with total hip replacement surgery as a last resort. If it turns out that this is the best option for you, our board certified orthopedic surgeons are leaders in the field.

Hip Grinding, Hip Pain Or Reduced Range Of Motion: Time To See An Orthopedist

There are many hip injuries, each with a range of hip pain symptoms and degrees of severity. Whether it’s grinding hip pain or signs of a labral hip tear, it’s important to understand exactly what these symptoms signify. What is your body trying to tell you?

Hip pain associated with less severe injuries (namely bumps and bruises) can be managed with rest, ice, compression, and elevation. However, structural injuries and more severe conditions will require professional treatment. Are your hip injury symptoms the result of a hip bursitis or a potentially more serious injury?

Hip Pain and Hip Swelling?
After a fall or collision, dull aching and throbbing are two typical hip pain symptoms. More serious conditions including osteonecrosis may involve pain and a radiating throbbing sensation in the buttock or groin. Those experiencing hip impingement symptoms often make note of sharp stabbing pain in the groin and hip area.

Stiff Hips? Locked Hips?
The loss of hip cartilage or drifting loose hip cartilage will interfere with the natural movement of the hip and may result in locked hip or hip sticking. Hip impingement symptoms include hip stiffness especially during rotating or squatting movements. Decreased muscle strength alongside general pain and swelling could signify an underlying hip flexor strain or an injury to connective tissues.

Hip Snapping? Hip Popping?
As the name would suggest, snapping hip syndrome symptoms include quick snapping sensations in the hip and thighs. These often sharp pops are the result of tendons or muscles gliding over bone surfaces. That said, pain in the hips and thighs could be the result of iliotibial band syndrome . More extensive bone on bone hip pain and bone grinding may be the result of severe hip arthritis.

Hip pain at night? Hip pain when sleeping on side?
Those suffering from hip arthritis symptoms often experience hip pain at night. However, there are many other potential explanations for this hip pain including stress fractures and common inflammation. For example, bursitis hip pain is often more pronounced if you sleep on this hip or sit down for long periods of time.

Best Hip Injury Treatment Options

Depending on your age and activity you may not need to undergo surgery. Fortunately, at Sports Medicine Oregon, we offer many non surgical hip treatment options for your hip injury including personalized rehabilitation at our state-of-the-art outpatient physical therapy center and the latest regenerative treatments, such as PRP injections.

Symptom Management
Your specific symptoms as well as your lifestyle activity level will give us a clearer idea of the treatment options to consider moving forward.

Accurate Diagnosis and Return to Play Guidelines
Once your hip injury has been assessed and diagnosed by our board certified orthopedic and sports medicine surgeons, we can determine your Return to Play guidelines. These treatments will establish specific rules regarding your expectations and limitations until you return to your active lifestyle ambitions without hip pain.

Physical Therapy
While competitive athletes and active individuals may need surgery, less active individuals often benefit from the same techniques used to treat high-level athletes, such as physical therapy, strength training, and assistive braces alongside general lifestyle adjustments. In fact, hip injuries often respond well to nonsurgical treatment.

From hip arthritis exercises to hip labral tear treatment, your nonsurgical options will be determined by the severity of your injury or joint inflammation. With this in mind, those in the preliminary stages of osteoarthritis can greatly benefit from the full spectrum of nonsurgical treatments.

Physical therapy exercises for hip injuries will allow you to strengthen the surrounding muscles and also increase range of motion. Depending on your hip injury we will create a strength training regimen based on you and your activity goals.

Regenerative Injections
For decades, patients were exceedingly limited to shots designed to treat hip pain (namely cortisone injections and hip steroid injections). Today, that has all changed and there are many biological regeneration solutions to regrow and build hip joint tissues. Come in today and let’s talk about your regenerative injection options and PRP injections for hip arthritis.

When Hip Surgery Is The Best Option For Your Hip Injury

Let’s say you’ve changed your lifestyle, shed a few pounds and your hip is still holding you back. If your symptoms cannot be managed with nonsurgical treatments or your functional plateau is keeping you from your active lifestyle it may be time to consider hip surgery.

Direct Anterior Hip Replacement
To treat a hip joint severely damaged by injury or arthritis your surgeon may recommend anterior approach total hip replacement surgery. During this procedure, plastic, metal, and ceramic components and surfaces are used to help the hip function smoothly and optimally.

Hip Impingement Surgery /Labral Tear Hip Surgery
Femoroacetabular impingement surgery (FAI surgery) is used to treat many common hip injuries including cartilage damage or labrum tears. During the procedure, the surgeon may repair damaged tissue and also shave any hip bone spurs.
    • Learn more about hip impingement surgery here .

Hip Fracture Surgery

After suffering a femur fracture, your doctor may recommend femur fracture surgery or hip fracture surgery. During this procedure, the surgeon will repair the fractured bone with a series of surgical screws.
    • Learn more about hip fracture surgery here .

Hip Resurfacing
During hip resurfacing, the head of the femur is trimmed and a metal covering is used to cap the femoral head. A metal shell is used to replace the interior hip socket.

Arthroscopic Hip Surgery: Non-Invasive Surgery For Your Hip

Today there are many outpatient hip surgery options and typically patients are free to return home just hours after the procedure. Unlike more invasive procedures, arthroscopic hip surgery doesn’t involve large open incisions and results in less swelling and faster recoveries. These arthroscopic hip surgeries are geared toward tendons, ligaments, and joint preservation not joint replacement.

What exactly is arthroscopic hip surgery? During a typical procedure, the surgeon guides a small camera (arthroscope -- hence the name) through the hip via a small incision and uses this visual data and surgical instruments to diagnose and treat the underlying cause of your hip pain.

Less Pain and Swelling
General swelling and pain after arthroscopic hip surgery should be expected. Unlike traditional arthrotomy surgeries (also known as “open surgeries”) arthroscopic hip surgery involves small incisions to treat the underlying problem. This means less swelling, less damage to normal tissue, and less hip pain after your procedure.

Shorter Recovery
Smaller incisions often enable shorter recovery times allowing you to get back to your normal daily activity faster.

Decreased Risk of Infection
These smaller incisions minimize the overall healing time and also reduce patient’s risk of infection.

Outpatient Operation
Almost all arthroscopic surgeries are performed as outpatient procedures and patients are normally free to return home 1-2 hours after the surgery.

What Is the Recovery Time for Arthroscopic Hip Surgery?

Now that the surgery is over, it’s time for the healing process to begin. Knowing what to anticipate during the recovery process can help keep us set realistic expectations beforehand. How long does it take to recover from hip surgery?

Patients are able to return home an hour or two after surgery. At home, it’s important to apply ice packs as needed to minimize any swelling and hip pain. Your doctor will prescribe medication to help minimize pain after the procedure.

You may need crutches immediately after the operation and these will help with mobility the week following surgery. Those with less strenuous “desk” jobs can go back to work within a few days after hip arthroscopy. A full hip arthroscopy recovery time will be between 3-6 months.

Physical therapy is crucial to hip surgery recovery and your doctor will design a regimen for your specific hip injury. These exercises after hip surgery are designed to strengthen the muscles surrounding the joint and also increase flexibility to restore your active lifestyle.

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